The Villas at Saratoga Skilled NSG & Assisted LVG

In the surveyor’s words

From the most serious findings on record at The Villas at Saratoga Skilled NSG & Assisted LVG, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 25, 2025

  Based on interview and record review, the facility failed to ensure to provide moderate assistance (helper does less than half the effort) for bed mobility, transfer, ambulation, maximum assistance (helper does more than half the effort) for toileting hygiene (process of using commode for urination and bowel movement), and failed to document comprehensive risk for fall care plan with person centered interventions for staff's assistance for bed mobility, transfer, ambulation, toileting and hygiene to prevent a fall for one of three sampled resident (Resident 2). […]

• Actual harm, isolatedF689Aug 22, 2024

  Based on interview and record review, the facility failed to provide free of accident hazard during transfer for one of three residents (Resident 1) when the facility failed to complete a fall risk evaluation for Resident 1 upon admission, Certified nursing assistant A (CNA A) did not follow the Hoyer (an assistive device that allows patients to be transferred between a bed and a chair or other similar resting places, by the use of electrical or hydraulic power) lift's user instruction manual when CNA A did not check the sling which suitable for the particular resident, the correct size, and CNA A did not follow the policy and procedure about using a mechanical lifting machine to gently support the resident as she moved. […]

• No harm, potential for more than minimal, widespreadF800Dec 20, 2024

  Based on observations, staff interviews, and document reviews, the facility failed to ensure overall dietetic services systems for food safety and sanitation were met, according to standards of practice and facility policy. This failure exposed the residents to contaminants (potentially harmful substances) in foods and unsanitary practices, which could have further compromised their nutritional status. The facility census was 84. Cross reference F802, F803, F804, F808, F812, and F908 Findings: During the initial kitchen tour on 12/16/24 starting at 9:07 A.M., multiple observations of unsanitary and unsafe equipment cleaning and food production practices in dietetic services were observed, including: the lack of kitchen cleanliness monitoring, lack of dish machine sanitizing monitoring,… […]

• No harm, potential for more than minimal, widespreadF802Dec 20, 2024

  Based on observation, interview, and record review, the facility did not ensure food and nutrition services staff performed their job tasks competently according to standards of practice and facility policy when: 1. A Dietary Aide did not follow the recipe for puree salmon and a Diet Aide did not follow the recipe for tuna sandwiches. 2. A Dietary Aide did not properly test the sanitizing step of the high temperature dishwasher machine. 3. A Dietary Aide did not correctly demonstrate how to calibrate a food thermometer. These failures had the potential to expose residents to bacterial contamination, that could result in food borne illnesses for all residents who consume food from the kitchen. The facility census was 84. Cross reference F800, 803 Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 20, 2024

  During observations, interviews, and record reviews, the facility did not ensure safe and sanitary practices were followed and maintained for food production and storage according to standards of practice and facility policy when: 1. An old dinner meal plate from the previous day was found inside the kitchen microwave the following day at 11:50 am. 2. Two dirty electric fans were inside the kitchen's food preparation and clean dish areas; 3. A cracked, dented, and worn aluminum measuring cup was used to make puree meals; These failures had the potential to impact the ability of dietary staff to prepare and serve coffee in a safe and sanitary manner. Facility census was 84. Cross reference F800, F802, F803 Findings: 1. […]